Specialty Billing & Collections Analyst

Dragonfly Health•Mesa, AZ

17h•Hybrid

About The Position

This position is responsible for conducting monthly pre-billing reviews, data quality analysis, and processing client/provider adjustments to ensure accurate invoicing. The role involves utilizing various collection techniques, building relationships with business clients to resolve payment issues, and escalating collection efforts as needed. The analyst will submit specialty billing for PACE and Medicaid clients, reconcile EOBs and denied claims, and perform accounts receivable follow-up. Additionally, the role requires updating pricing on orders, serving as a key contact for billing data integrity, and potentially managing special billing and collections projects. The position emphasizes protecting company intellectual property and customer data privacy.

Requirements

High school diploma or equivalent is required.
At least two years of billing analytical experience in which employee worked within a team environment is required.
Proficient and accurate data-entry skills are required to record and manipulate data as previously described.
Strong interpersonal skills due to constant contact both internally and externally. Displays the ability to work within a team.
Ability to work with independently and displays good prioritization skills.
A high attention to detailed information is required to review and reconcile data.
Ability to read service level contracts and understand the fee schedule for client and vendors.
The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPPA is required.
Strong knowledge of business and communications software (MS Office) and web-based tools are required.
Excellent spreadsheet (Excel) experience is required.

Nice To Haves

A bachelor’s degree in business or related field is preferred.
Medical billing and coding license is preferred.
Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred.
Experience with DMETrack software of at least one year is preferred.

Responsibilities

Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate.
Regularly receives and processes client and provider adjustments to ensure month end invoices are correct.
Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary.
Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up.
Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries.
Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments.
Creates and develops reports to address management needs; analyzes information to identify issues and recommends process improvements as appropriate.
May manage special billing & collections projects.
Protects company’s intellectual property and the privacy of customers’ data.
Performs other duties as assigned or apparent.